HIGHLIGHTS BOOK 9th MORE · Shoulder instability and rotator cuff repairs require multiple devices and multiple techniques to achieve the goal of shoulder arthroscopic surgeries:

TWENTY YEARS OF INNOVATION SUPPORTED BY EDUCATION

L u g a n o , S w i t z e r l a n d11-13 APRIL 2019SYMPOSIUMINTERNATIONAL9th MOREH I G H L I G H T S B O O K

From April 11th to April 13th Medacta’s 9th M.O.R.E. International Symposium was held in Lugano, Switzerland.

This was a unique and exciting event, celebrating the 20th Anniversary of Medacta and scientifically focused on Personalized Medicine and the impact of customizable tools and patient-matched solutions in

various orthopaedic disciplines.

Medacta and the M.O.R.E. Institute welcomed 1,500 attendees from all over the world. Besides joint and spine sessions, the symposium - for the first time - included sessions focused on shoulder, knee and

hip treatments for sports medicine.

More than 130 Faculty members presented at the meeting at the Lugano Convention Center (Joint and Sports Medicine sessions) and

in the Exhibition Center Lugano - Conza Pavilion (Spine sessions).


1,500ATTENDEES

130FACULTY MEMBERS

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SYMPOSIUMINTERNATIONAL

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Below are overviews for the programs that took place during the congress:

Knee Sports Medicine Day (Thursday, April 11)Designed with the patient and the anatomy in mind, the M-ARS ACL is an original concept that successfully mimics the native anatomical ACL while reconstructing it.

This concept includes dedicated implant, instruments and surgical technique.

Knee Arthroplasty Day (Friday, April 12) A successful and satisfactory knee replacement is achieved by mastering individual biomechanics and a range of dedicated techniques, personalized for each patient. This will optimize treatment, minimize tissue sacrifice and take advantage of state of

the art technological support.

Shoulder Sports Medicine Day (Friday, April 12)Shoulder instability and rotator cuff repairs require multiple devices and multiple techniques to achieve the goal of shoulder arthroscopic surgeries: pain relief and restored motion. Implant versatility is the key to support surgeons in

personalized patient treatments.

Hip Sports Medicine Day (Friday, April 12)Arthroscopic treatments for hip deformities and/or intra-articular damages are becoming more and more popular, aiming to halt degeneration of the joint and to prevent hip

osteoarthritis. Providing personalized solutions is the way to foster these surgeries.

Spine Sessions (Friday, April 12 - Saturday, April 13)How new trends and novel technologies, along with personalized patient specific treatments, can positively affect surgical practice with optimized clinical outcomes.

Hip Arthroplasty Day (Saturday, April 13)Modern tools and techniques span from pre-operative simulation and planning, to

revision and component removal.

Shoulder Arthroplasty Day (Saturday, April 13)Shoulder Arthroplasty is the fastest growing segment in orthopedics, mainly due to the clinical results provided by the modern products available. Innovation and

reproducibility are key to ensure excellent long-term results.


For more information about the 9th M.O.R.E. International Symposium,

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PERSONALIZED MEDICINEA combination of products and services that will drive the evolution of the medical world.


KEYNOTE SPEAKERS

Bernhard JOST (CH) Douglas PADGETT (US)

Matthias ZUMSTEIN (CH) Paul HEINI (CH)Klaus RADERMACHER (DE)

JOINT SESSION SPORTS MED SESSION SPINE SESSION

CHAIRMEN

Knee day: 12th April

Peter KOCH (CH)Gareth SCOTT (UK)

Hip day: 13th April

Francesco M. BENAZZO (IT)Tyler D. GOLDBERG (US)

Shoulder day: 13th April

Ralph HERTEL (CH)Matthew D. SALTZMAN (US)

Knee day: 11th April

Christian FINK (AT)Rainer SIEBOLD (DE)

Hip day: 12th April

Frédéric LAUDE (FR)John O’DONNELL (AU)

Shoulder day: 12th April

Leesa M. GALATZ (US)Markus SCHEIBEL (DE)

Spine day 1: 12th April

Richard GUYER (US) Manabu ITO (JP)

Spine day 2: 13th April

Paul HEINI (CH)Christoph-Eckhard HEYDE (DE)

JOINT SESSION SPORTS MED SESSION SPINE SESSION

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FACULTY

Matthew Beal (US)David Benzaquen (FR)

Leela Biant (GB)Olivier Borens (CH)Piero Budassi (IT)

Panayiotis Christofilopoulos (CH)Cesare Faldini (IT)Richard Field (GB)

David Frohnmüller (DE)Robert Greenhow (US)

Wade Harper (AU)Alister Hart (GB)

Naeder Helmy (CH)Nicolas Holzer (CH)

Stephen M. Howell (US)David Jevsevar (US)

Yoshinori Kadoya (JP)Fabian Kalberer (CH)

Luc Kerboull (FR)Jeffrey Mandume Kerina (US)

Frédéric Laude (FR)Chien-Wen Liew (AU)

John Maltry (US)David Manning (US)John Masonis (US)

Joel Matta (US)Michael McAuliffe (AU)

Ryan G. Molli (US)Christophe Monnin (FR)

Peter Müller (DE)Akbar Nawab (US)Andrew Price (GB)

Pietro Simone Randelli (IT)Daevyd Rodda (AU)

Jose A. Rodriguez (US)Fernando Sanchez (US)Tom Savvoulidis (AU)

Anup Shah (US)John Skinner (GB)Michael Suk (US)

William R. Taylor (CH)Peter Thadani (US)

Bruno Toussaint (FR)Philippe Van Overschelde (BE)

Jonathan Vigdorchik (US)Rüdiger von Eisenhart-Rothe (DE)

Henning Windhagen (DE)Patrick Zingg (CH)

Matthias Zumstein (CH)

JOINT SESSION

Jitendra Balakumar (AU)Martin Beck (CH)

Josip N. Cakic (ZA)Christian Candrian (CH)

Panayiotis Christofilopoulos (CH)John G. Costouros (US)

Matteo Denti (CH)Michael Dienst (DE)Benjamin Domb (US)

Thomas Ellis (US)Richard Field (GB)

Michael B. Gerhardt (US)Mirco Herbort (DE)Bernhard Jost (CH)

Fabian Kalberer (CH)Peter Koch (CH)

Franz Sebastian Kralinger (AT)Andreas M. Müller (CH)

Akbar Nawab (US)Reza Omid (US)

Eden Raleigh (AU)Marc Safran (US)

Parminder J. Singh (AU)Robert Jacek Smigielski (PL)

Olivier Verborgt (BE)Andreas Weiler (DE)Tim Whitehead (AU)

SPORTS MED SESSION

Yuichiro Abe (JP)Kuniyoshi Abumi (JP)

Michael Akbar (DE)Christian Bach (AT)

Rudolf Bertagnoli (DE)Evalina Burger-Van Der Walt (US)

Alessandro Ducati (IT)Michael Duffy (US)Cesare Faldini (IT)

Mazda Farshad (CH)Jörg Franke (DE)

Jeffrey Henn (US)Richard Hynes (US)

Deszö J. Jeszenszky (CH)Takashi Kaito (JP)Andrew Kam (AU)

Frank Kandziora (DE)Yoshiharu Kawaguchi (JP)

Larry Khoo (US)

Christopher CJ Kleck (US)Claudio Lamartina (IT)

Geert Mahieu (BE)Keitaro Matsukawa (JP)Kevin J. McGuire (US)

Ralph Mobbs (AU)Brian Nielsen (US)

Itaru Oda (JP)Markus Pietrek (DE)

Francois Porchet (CH)Michael Rauschmann (DE)

Nima Salari (US)Kanji Sasaki (JP)

Gabriel C. Tender (US)Kevin Tschöke (DE)

Patricia Verstraete (BE)Mark Wang (US)

Clément Max Léonard Werner (CH)Michael Winking (DE)

SPINE SESSION

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from 12.00pm to 06.00pm - Lugano Convention Center

12.00pm LUNCH

01.30pm Knee Sports Med day opening

01.40pm SESSION 01 - ACL REPAIR Moderator: R. Siebold

Case presentation: ACL repair R. Siebold

ACL anatomy: understanding nature R. Smigielski

Single bundle reconstruction M. Denti

Double bundle reconstruction R. Siebold

M-ARS: design rationale C. Fink

M-ARS: surgical technique M. Herbort

Discussion and case solution

03.10pm COFFEE BREAK

03.40pm SESSION 02 - ACL REVISION SURGERY Moderator: R. Smigielski

Case presentation: ACL revision surgery R. Smigielski

Options: where to harvest? A. Weiler

Options: what has been done? P. Koch

Options: what to do? T. Whitehead


04.50pm SESSION 03 - OTHER LIGAMENTS Moderator: C. Fink

Session introduction C. Fink

Case presentation: collateral ligament M. Herbort

My way of PCL reconstruction: options for getting better A. Weiler

Case presentation: meniscus A. Nawab

Discussion

05.50pm Knee Sports Med day closure

Thursday, April 11th - KNEE SPORTS MED DAY

SESSION 01 - ACL REPAIR

Return to anatomy is the trend, focusing on anatomic femoral/tibial tunnels and anatomic graft reconstruction

and insertion. Technique, dedicated tools and proper training are crucial.

SESSION 02 - ACL REVISION SURGERY

ACL re-tear rates are still increasing due to multiple factors. Different strategies are possible but the goal is to

treat a re-tear as primary surgery to raise the expected outcomes.

SESSION 03 - OTHER LIGAMENTS

“Minor” ligaments and, even more, meniscus tears are repaired more often than ever thanks to novel techniques

and available technologies. Results are encouraging.

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from 08.45am to 06.15pm - Lugano Convention Center

08.45am WELCOME

09.05am Knee Joint Replacement day opening

09.10am Making surgery special D. Padgett

09.30am SESSION 01 - BIOMECHANICS AND KNEE SURGERY Moderator: G. Scott

Session opening G. Scott

Biomechanics and kinematics of the knee joint W. R. Taylor

Calipered kinematic alignment: a personalized approach to TKA surgery

S. Howell

Kinematic alignment meets kinematic design H. Windhagen

Partial problems and total solutions! A. Price

Discussion

10.35am Prof. Freeman Memorial G. Scott

10.50am COFFEE BREAK

11.15am SESSION 02 - VALGUS KNEES AND CHALLENGES Moderator: J. Masonis

Case presentation: mild valgus J. Masonis

Valgus knees treated with GMK Sphere in a controlled ODEP study of 500 patients

R. Field

How I use what implant in valgus knees D. Manning

Kinematic alignment for valgus knees. Am I crazy?! P. Thadani

A balanced approach to valgus knees with medially stabilized implants

P. Van Overschelde

GMK Sphere for patients with high-flexion demand Y. Kadoya


12.50pm LUNCH

Friday, April 12th - KNEE JOINT REPLACEMENT DAY

SESSION 02 - VALGUS KNEES AND CHALLENGES

Is it possible to apply the biomechanical concepts discussed in the first session to the valgus knees? Or is a

different treatment required? This session, based on case discussion, explores which strategies and devices

can be successfully applied, with a focus on the use of Medially Stabilized implants in valgus knees.

SESSION 01 - BIOMECHANICS AND KNEE SURGERY

The key to achieving patient satisfaction in knee replacement requires an understanding of the knee

biomechanics and personalized reproduction of the individual biomechanical environment. What is the role

of implant alignment?

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02.00pm SESSION 03 - THE JOYS AND CHALLENGES OF PARTIAL KNEE REPLACEMENT

Moderator: R. Molli

Case presentation: bi-lateral wear mostly medially R. Molli

Indication and failure, do implants matter? N. Helmy

Patient optimization pathways, personalized medicine J. M. Kerina

Finding the perfect combination of implant and technique A. Nawab

Accuracy and precision in UKA. What really matters P. Koch


03.15pm SESSION 04 - TECHNOLOGIES FOR PERSONALIZED AND OPTIMIZED PATIENT SOLUTIONS

Moderator: L. Biant

Session opening L. Biant

Can reliable tools become more efficient - single use solutions

J. Maltry

Efficiency KneePack: LEAN process in TKA D. Benzaquen

Enhanced intra-operative assessment: new technologies for personalized ligament analysis

M. McAuliffe

What “value” means to patients and the role of technology

M. Suk

Discussion


04.45pm SESSION 05 - REVISION TKA: FROM MISSION IMPOSSIBLE TO SUCCESS

Moderator: P. Koch

Session opening P. Koch

Unique challenges deserve unique solutions T. Savvoulidis

Constraint: when to use what? M. Beal

Fixation: when to use what? F. Sanchez

A protocol for effective infection management O. Borens

Discussion

05.50pm Knee Joint Replacement day closure

06.00pm 20th ANNIVERSARY: twenty years of innovation supported by education

KNEE JOINT REPLACEMENT DAY

SESSION 04 - TECHNOLOGIES FOR PERSONALIZED AND OPTIMIZED PATIENT SOLUTIONS

How can we benefit from advances made by contemporary manufacturing technologies?

In this session, the panel discusses the impact of technology and the health economics environment on the

knee replacement procedure.

SESSION 03 - THE JOYS AND CHALLENGES OF PARTIAL KNEE REPLACEMENT

Limiting treatment only to what is essential: how can we minimise the removal of functioning tissues? Partial

replacement and personalized conservative strategies are discussed over a real case, covering indications, implant design, surgical technique and supporting technologies.

SESSION 05 - REVISION TKA: FROM MISSION IMPOSSIBLE TO SUCCESS

When the water is rising and the surgical team is sweating: the difficult cases that everyone wants to see in

his/her past only. This session reviews strategies and tools to manage revisions and infections.

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08.45am WELCOME

09.05am Shoulder Sports Med day opening

09.10am New trends in understanding shoulder pathology and arthroscopic treatments

M. Zumstein

09.30am SESSION 01 - INSTABILITY Moderator: L. Galatz

Case presentation: shoulder instability L. Galatz

Algorithm of treatment of shoulder instability F. Kralinger

The Latarjet technique C. Candrian

The Bankart technique A. Müller

Bone block procedures: indications and techniques O. Verborgt

Current results and new trends E. Raleigh



11.30am SESSION 02 - ROTATOR CUFF TREATMENTS Moderator: M. Scheibel

Case presentation: rotator cuff tear M. Scheibel

Balloon interspace arthroplasty R. Omid

Superior capsular reconstruction J. Costouros

Reverse TSA for irreparable rotator cuff tears B. Jost

When is a tendon transfer the solution? M. Zumstein


12.50pm Shoulder Sports Med day closure

01.00pm LUNCH

Friday, April 12th - SHOULDER SPORTS MED DAY

SESSION 02 - ROTATOR CUFF TREATMENTS

New rotator cuff treatments are showing moderate results (as the interspace balloons), promising results (as SCR)

but still controversial. RTSA is a solid and reliable solution, coupled with muscle transfer in case of major

muscles inefficiencies.

SESSION 01 - INSTABILITY

Latarjet, Bankart, Bone Block, multiple muscle transfer: those are just some of the options to address shoulder

instability. Is there an algorithm to follow?

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from 01.00pm to 06.15pm - Lugano Convention Center

01.00pm LUNCH

02.00pm Hip Sports Med day opening

02.10pm SESSION 01 - LABRAL TREATMENTS Moderator: J. O’Donnell

Introduction into labral repair J. O'Donnell

Why is the labrum important? M. Safran

When to debride-detach-recess-repair the labrum R. Field

Anchor placement: portals, direction, distance to cartilage

P. Christofilopoulos

Treatment options for the chondrolabral junction and labral repair technique in different pathologies

J. Cakic

Pitfalls and complications of labral surgery T. Ellis

Discussion


04.10pm SESSION 02 - UNSTABLE HIP PRESERVATION Moderator: F. Laude

Case Presentation: Unstable hip F. Laude

Hip stability - osseous and soft tissue stabilizers of the hip joint

M. Dienst

Wave sign P. J. Singh

Borderline hips - when to do what? M. Beck

Microinstability of the hip in the athlete B. Domb

Minimal invasive PAO J. Balakumar

Are there still indications for surgical hip dislocation? F. Kalberer

My strategies for resecting the pincer and cam M. Gerhardt


05.55pm Hip Sports Med day closure


Friday, April 12th - HIP SPORTS MED DAY

SESSION 02 - UNSTABLE HIP PRESERVATION

Hip preservation surgery for the treatment of pre-arthritic hip pain is becoming more widespread as a result of a

dedicated patient specific customized solution. Real cases presentations are representing the actual options.

SESSION 01 - LABRAL TREATMENTS

Debridement, repair and replacement are the most common hip labral tear surgical treatments, dependent

upon the severity of the tear.How those procedures have evolved and what are the recommendations

for the future?

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from 08.45am to 06.15pm - Lugano Exhibition Center - MAC 6

08.45am WELCOME

09.05am Spine Day 1 opening

09.15am 20 years of computer assistance in spine surgery - a technical review of history and trends

K. Radermacher

09.35am SESSION 01 - HOW CRITICAL IS PRE-OPERATIVE PLANNING IN SPINE SURGERY?

Moderator: M. Farshad

Planning in spinal surgery: introduction & case presentation

M. Farshad

Challenging spine surgeries supported by 2D planning methods

N. Salari

The role of 3D imaging for preoperative planning in spine surgery

J. Henn

2D vs 3D surgery planning: a debate on strengths and limits B. Nielsen vs M. Akbar



11.15am SESSION 02 - NAVIGATED ASSISTED MIDLINE CORTICAL SCREW FIXATION: A REVOLUTION IN MIS SURGERY

Moderator: C. Bach

Session opening C. Bach

The Cortical Bone Trajectory (CBT) advantage: the perspective of the inventor

R. Hynes

Midline cortical approach: a new paradigm for the cortical bone screws

K. Matsukawa

Navigated assisted technique in midline cortical approach: an added value for MIS surgery

G. Mahieu

Midline cortical: minimally invasive surgery for maximal muscle sparing

A. Ducati

Debate: MySpine MC vs standard MIS and open approaches

P. Verstraete vs M. Wang vs K. Tschöke

Discussion

Friday, April 12th - SPINE DAY 1

SESSION 01 - HOW CRITICAL IS PRE-OPERATIVE PLANNING IN SPINE SURGERY?

Pre-operative planning in spine surgery is a strong tool to predict the correction of a scoliotic spine and guide

surgical treatment in degenerative spine, as a function of the patient characteristics. 3D planning, rather than 2D, may represent a more significant predictive instrument to simulate the real spine structure and its instrumentation.

SESSION 02 - NAVIGATED ASSISTED MIDLINE CORTICAL SCREW FIXATION: A REVOLUTION

IN MIS SURGERY

A midline Cortical approach, with diverging long screws driven through the strong cortical vertebral bone,

represents a powerful alternative to the traditional pedicle screw trajectory because of its strong fixation and minimal

invasiveness resulting in an important outcome in terms of patient wellness.

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12.50pm LUNCH

02.15pm SESSION 03 - SUCCESSFUL CLINICAL STRATEGIES FOR CERVICAL DEGENERATIVE SPINE AND DEFORMITY

Moderator: I. Manabu

Session opening I. Manabu

Small pedicles: how to reduce the risk of patient injuries? I. Oda

Cervical pedicle screw vs lateral mass fixation: a plus for deformity and degenerative spine

K. Abumi

Cervical pedicle screw supported by navigated assisted patient matched technology

M. Winking

Ossification of posterior longitudinal ligament syndrome: a common spine disorder in Japan

Y. Kawaguchi

ACDF vs cervical disc arthroplasty: indications, long term results and trends

F. Porchet

Osteotomies in cervical spine: are they really needed? A. Kam

Revision, deformity and tumor in the cervical and cervicothoracic spine. Treatment planning and therapeutic options

M. Rauschmann

Discussion


04.35pm SESSION 04 - CURRENT TECHNOLOGIES IN SPINE SURGERY AND FUTURE TRENDS

Moderator: R. Guyer

The role of current technologies in spine surgery R. Guyer

Patient matched technologies & patient specific implants: solutions built around the unique anatomy of each patient

R. Mobbs

Navigation, robotics and the surgeon: does it improve outcomes?

E. Burger-Van Der Walt

Augmented and virtual reality: a piece of future into the OR?

Y. Abe

Future trends: where will we go? R. Guyer

Discussion

05.50pm Spine Day 1 closure


SPINE DAY 1

SESSION 03 - SUCCESSFUL CLINICAL STRATEGIES FOR CERVICAL DEGENERATIVE SPINE

AND DEFORMITY

Learn and discuss relevant advancements in cervical spine surgery with emphasis on challenging

anatomies and how to treat them with patient specific technology that demonstrates the application of

selected technique options for various cervical spinal procedures.

SESSION 04 - CURRENT TECHNOLOGIES IN SPINE SURGERY AND FUTURE TRENDS

With the improvement of navigator-assisted techniques and robotics, many forms of spine surgery we currently do may be replaced with outpatient procedures with minimal

recovery and improved function.

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09.00am Hip Joint Replacement day opening

09.10am Ten years outcomes using the Quadra and the Versafitcup systems through the AMIS technique

P. Zingg

09.20am Medacta Hip Results D. Bergadano

09.30am SESSION 01 - PLANNING TO SUCCEED Moderator: F. M. Benazzo

Session opening F. M. Benazzo

Improving accuracy using patient specific guides A. Hart

Choosing the right stem J. A. Rodriguez

Optimizing instruments and implants. An easier, better day in the OR

F. Kalberer

Simplifying the hip-spine relationship in THR J. Vigdorchik

3D planning for 3D patients! P. Christofilopoulos

Reproducing what was planned D. Frohnmüller

Discussion


11.30am SESSION 02 - OPTIMIZING EDUCATION - US AND THEM

Moderator: D. Jevsevar

Session opening D. Jevsevar

The role of personalized education: my AMIS experience C.-W. Liew

The effectiveness of a planning tool, 3D printed guides and targeted education on surgical learning curve

J. Skinner

Educating and managing patients using todays’ technology

D. Rodda

Pushing the surgeon frontier - the bikini incision R. Field

Making AMIS work in an outpatient setting R. Greenhow

Discussion

12.50pm LUNCH

Saturday, April 13th - HIP JOINT REPLACEMENT DAY

SESSION 01 - PLANNING TO SUCCEED

Total hip replacement offers great satisfaction perspectives to patients and surgeons alike.

Despite this, some patients still score poorly and it is extremely important to reduce such conjuncture as much

as possible. For this reason, personalized planning procedures, coupled with intelligent and active instruments, can be used to optimize results.

SESSION 02 - OPTIMIZING EDUCATION - US AND THEM

How can we optimize the patient experience for total hip replacement? A minimally invasive surgical technique,

carefully learnt, and a well-constructed personalized pathway before and after the surgery are the

key to achieving successful results.

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02.00pm SESSION 03 - REVISION REVISITED Moderator: T. D. Goldberg

Session opening T. D. Goldberg

Challenges and solutions in revision THR C. Faldini

Revision surgery following anterior approach THA: is the choice of approach always anterior?

J. Matta

Why use the Kerboull Cage in acetabular reconstruction? L. Kerboull

The Versacem Cup for patients at high risk of instability R. von Eisenhart-Rothe

Surgical strategies for femoral revision J. Masonis

Could shorter be better? The "Desescalade" technique F. Laude

Case discussion

03.55pm Hip Joint Replacement day closure

04.00pm Close of the 9th M.O.R.E. International Symposium

HIP JOINT REPLACEMENT DAY

SESSION 03 - REVISION REVISITED

Removal and replacement of failed implants is still a challenge that needs specific training, dedicated tools and

profound knowledge of the variety of surgical strategies. This has been discussed and real cases has

been shown for review.

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09.00am Shoulder Joint Replacement day opening

09.10am Shoulder arthroplasty: what I have learned in the past 15 years

B. Jost

09.30am SESSION 01 - HUMERUS Moderator: M. Saltzman

Case presentation: primary osteoarthritis without glenoid deficiency

M. Saltzman

Humerus - 3D Planning P. Müller

When should you use a standard stem, and how do you do it?

M. Zumstein

Short stem: when and why? C. Monnin

The stemless option B. Jost


PSI: when is it helpful? P. Müller


11.25am SESSION 02 - GLENOID IN ANATOMIC Moderator: R. Hertel

Case presentation: primary osteoarthritis with glenoid deficiency

R. Hertel

Glenoid in anatomic - 3D planning W. Harper

Standard PE glenoid: reaming the high side A. Shah

Augmented PE implants to preserve bone M. Saltzman

Straight reverse is the solution B. Toussaint

The mirror could be the solution C. Monnin


01.00pm LUNCH

Saturday, April 13th - SHOULDER JOINT REPLACEMENT DAY

SESSION 01 - HUMERUS

Humeral components choice and fixation is a debated topic: choices are not only driven by surgeon preferences

or literature results but supported by sophisticated 3D planning tools.

SESSION 02 - GLENOID IN ANATOMIC

Glenoid implant positioning is the most controversial topic. Different concepts are all aiming at one goal:

improve function and foster long term survival. Defining the pathology, improving surgical planning,

improving surgical tools and providing adequate implants to implement the plans represent a strong value chain

that might be transformative.

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02.15pm SESSION 03 - GLENOID IN REVERSE Moderator: M. Zumstein

Case presentation: combined irreparable cuff deficiency and glenoid deficiency

M. Zumstein

Optimal component positioning in reverse shoulder arthroplasty

P. Randelli

Bone augmented glenoid offset in reversed shoulder arthroplasty, where are we?

N. Holzer

Bone grafting with a threaded baseplate A. Shah

Metal augmented solutions P. Budassi


03.45pm Shoulder Joint Replacement day closure


SHOULDER JOINT REPLACEMENT DAY

SESSION 03 - GLENOID IN REVERSE

Baseplate positioning to maximize abutment-free range of motion in glenoid bone defects is the challenge.

The state of the art and guidelines are discussed through case presentation and interactive panel discussion.

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from 09.00am to 03.15pm - Lugano Exhibition Center - MAC 6

09.00am Spine Day 2 opening

09.10am Modern school vs heavy metal P. Heini

09.30am SESSION 05 - SURGICAL TREATMENTS IN CHALLENGING AGEING SPINE

Moderator: F. Kandziora

Session opening F. Kandziora

MIS techniques for segmental sagittal balance restoration

L. T. Khoo

Adult deformity: can assisted navigation technique make it easier?

C. Lamartina

Stand Alone ALIF cages and circumferential approaches: a tool for optimal balance recovery

C. J. Kleck

The ALIF: an MIS approach for the challenging degenerative lumbar spine

M. Duffy

Minimally invasive TLIF options for lumbar spondylolisthesis

G. C. Tender

The impact of bridging cages in osteoporotic patients C.-E. Heyde

Management of osteoporotic patients with degenerative disease: time to augment?

J. Franke

Discussion


11.30am SESSION 06 - ADOLESCENT SPINE DEFORMITY AND TREATMENT OPTIONS

Moderator: C.-E. Heyde

Session opening C.-E. Heyde

2D vs 3D dimensional plan alignment in adolescent idiopathic scoliosis

K. Sasaki

Multi segmental manoeuvers for the recovery of thoracolumbar alignment and spino-pelvic harmony in AIS

C. Faldini

The impact of personalized medicine in challenging spine deformities

D. Jeszsenszky

Debate: decreasing radiation exposure during spine surgery and interventional procedures

T. Kaito vs K. McGuire

Discussion

Saturday, April 13th - SPINE DAY 2

SESSION 05 - SURGICAL TREATMENTS IN CHALLENGING AGEING SPINE

Treatment of the adult ageing spine is challenging due to the complex nature of anatomical degeneration/deformity

and high prevalence of comorbidities. Spino-pelvic harmony recovery is a key factor that can be

assisted by software and hardware.

SESSION 06 - ADOLESCENT SPINE DEFORMITY AND TREATMENT OPTIONS

AIS can be corrected by several surgical techniques as a result of a posterior fixation and the revamp of anterior

approaches and less impacting surgical practices. The need to reduce dose irradiation during diagnosis is a

natural demand for these young patients.

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12.45pm LUNCH

02.00pm SESSION 07 - INCIDENCE OF REVISION SURGERY TREATMENTS RATIONALE AND COMPLICATIONS

Moderator: E. Burger-Van Der Walt

Session opening E. Burger-Van Der Walt

Surgical tactics to overcome proximal junction kyphosis and revision treatments

R. Bertagnoli

Clinical outcome following revision surgery for lumbar pseudarthrosis: which treatment fits best?

M. Pietrek

SI joint fusion in rescue surgeries: an eligible treatment?

C. Werner

Non-union, implant misplacement, neurologic deficit, ASD and sagittal plan deformity: 5 major reasons for spinal revision surgery in one case

F. Kandziora

Discussion

03.05pm Spine Day 2 closure A


SPINE DAY 2

SESSION 07 - INCIDENCE OF REVISION SURGERY TREATMENTS RATIONALE AND COMPLICATIONS

Revision spine surgeries are technically challenging with inconsistent outcome results and are caused by a lack of

primary treatment performance. Several techniques, supported by better planning, can help

to approach them properly.

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HIGHLIGHTS BOOK 9th MORE · Shoulder instability and rotator cuff repairs require multiple devices and multiple techniques to achieve the goal of shoulder arthroscopic surgeries: